— 照護管理 · MEDIUM · SATA —
護理師為人工髖關節置換術後的病人進行出院衛教。應包含哪些指導內容？（選所有適合的）
A nurse is preparing to discharge a client after a total hip arthroplasty. Which discharge instructions should the nurse provide? (Select all that apply.)
- AAvoid crossing the legs at the knees or ankles✓ 正解避免膝蓋或腳踝交叉雙腿
- BUse a raised toilet seat to avoid excessive hip flexion✓ 正解使用加高馬桶座墊以避免髖關節過度屈曲
- CSleep with a pillow between the legs for the first 6 weeks✓ 正解前六週睡覺時雙腿間放置枕頭
- DPerform high-impact sports to strengthen the joints進行高衝擊運動以強化關節
- EAvoid bending the hip more than 90 degrees✓ 正解避免髖關節屈曲超過 90 度
— Explanation · 中文詳解 —
全髖關節置換術後（Total Hip Arthroplasty, THA），為預防人工關節脫位，病人在術後初期必須嚴格遵守活動限制。關鍵衛教包括：避免髖關節屈曲超過 90 度（如坐矮凳、過度彎腰）、避免雙腳交叉（內收）、避免內旋。正確的操作方式包括使用加高馬桶墊、睡覺時在兩腿間放置枕頭維持外展位置。這些措施能顯著降低脫位風險，促進術後康復。
To prevent hip dislocation, clients should avoid bending the hip more than 90 degrees, crossing legs at the knees or ankles, and performing high-impact activities. Discharge instructions should include using a raised toilet seat to limit flexion, sleeping with a pillow between the legs to maintain abduction, and avoiding positions that stress the new joint.